Provider Demographics
NPI:1356516256
Name:FLOYD, DAVID M (AUD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:FLOYD
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 ENGLISH RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-6032
Mailing Address - Country:US
Mailing Address - Phone:252-937-4100
Mailing Address - Fax:252-937-4103
Practice Address - Street 1:215 SMITH CHURCH RD
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870-4913
Practice Address - Country:US
Practice Address - Phone:252-535-2311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6237231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6237OtherNC AUDIOLOGY BOARD LICENSE
NC01256OtherBCBS
NC6237OtherNC AUDIOLOGY BOARD LICENSE
NC2699668Medicare PIN